Audien Atom X vs RxEars Rxi
Side-by-side HearAdvisor lab results with SoundGrades, expert pick badges, and the same visualizations we use in product reviews.

Audien Atom X
The Audien Atom X is a budget-priced OTC hearing aid available for $389, earning a B grade with a SoundScore of 3.3/5 in our lab testing. This visible-in-ear style device ranks #54 of 65 OTC hearing aids tested, placing it in the lower portion of the category. In our testing, the Atom X showed a mixed performance profile with notable strengths and weaknesses. Feedback handling was excellent at 5.0/5, scoring 0.46 points above the category average—meaning users are unlikely to experience whistling during normal wear. Music streaming was also a highlight at 3.3/5, coming in 1.38 points above the OTC average, making it a solid choice for those who prioritize audio entertainment. However, speech clarity showed limitations. Speech in quiet scored 1.5/5, falling 1.25 points below the category average, while speech in noise measured 1.0/5, which is 0.48 points below average. These low absolute scores suggest users may find speech understanding challenging, particularly in difficult listening environments. Own voice comfort was mixed at 2.3/5, slightly below the category average. The Atom X may appeal to budget-conscious consumers who prioritize streaming quality and feedback-free wear over speech enhancement. However, several competitors in the same price range—including the Elehear Beyond (4.36/5) and Apple AirPods Pro 2 (4.06/5)—offer stronger overall performance. Shoppers focused primarily on speech clarity may want to explore alternatives.
Choice

RxEars Rxi
The RxEars Rxi is a budget-priced prescription hearing aid in an invisible-in-ear style, earning an A grade with a SoundScore of 4.1/5 in our lab testing. At $499, it represents one of the most affordable options in the prescription hearing aid category while still delivering solid overall performance. Speech clarity is a notable strength for this device. In quiet listening environments, the Rxi scores 4.3/5, which is 0.97 points above the category average—a strong result that should benefit users in conversational settings at home or in calm environments. Speech understanding in noisy conditions scores 2.1/5, slightly above the category average by 0.16 points, though this remains mixed in absolute terms and may present challenges in demanding acoustic situations like busy restaurants. Feedback handling is excellent at 4.7/5, essentially matching the category average and indicating reliable stability during daily wear. However, the Rxi shows notable limitations in other areas. Own-voice comfort scores 1.6/5, falling 1.15 points below the category average, which may result in a hollow or boomy perception of your own voice. Music streaming is not supported, scoring 0.0/5—a significant gap of 2.64 points below category average that buyers should consider if streaming audio matters to them. The RxEars Rxi is best suited for budget-conscious consumers who prioritize speech clarity in quieter environments and don't require streaming capabilities. Its invisible form factor and disposable battery design offer convenience, though those seeking better own-voice comfort or music features should explore alternatives.
We independently review each item we recommend and appreciate your trust and support. When you buy through our links, we may earn a commission. Learn More.
Performance metrics
Scale 1-5 (Tuned)
Lab metric by fit
Scale 1-5 (Tuned)
Speech level
Adjust input dB (Tuned)
Amplification (REIG)
Insertion gain at 65 dB (Tuned)
Fitting configuration for tuned fit